Eugene Celebration 10's Tournament September 2005 - TEAM REGISTRATION -
Please use this form to register for the tournament. For specific questions, email tournament@eugenerugby.com.
Club Name:
Contact Name:
Contact E-mail:
How many sides will you be bringing? 1 Team 2 Teams 3 Teams 4 Teams 5 Teams
Tournament fee if received before tournament (# of sides x $100): $100.00 $200.00 $300.00 $400.00 $500.00
Late Registration if received at the tournament (# of sides x $125): $125 = 1 team $250 = 2 teams $375 = 3 teams $500 = 4 teams $615 = 5 teams
Team #1 is a Men's Club Women's Club High School/U-19 Club Team #2 is a n/a Men's Club Women's Club High School/U-19 Club Team #3 is a n/a Men's Club Women's Club High School/U-19 Club Team #4 is a n/a Men's Club Women's Club High School/U-19 Club Team #5 is a n/a Men's Club Women's Club High School/U-19 Club
[Make checks payable to: Eugene Rugby Football Club, Ltd. 142 W. 8th Ave. Eugene, OR, 97401]
Team Type (based on last season's 15's)--this will help place your 10's side in the appropriate division: [Select Team Type] Men's Division I Men's Division II Men's Division III Collegiate Men's Div. I Collegiate Men's Div. II Women's Club/Collegiate Boy's High School
Team Contact Info:
Street or P.O. Box:
City: State: n/a AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip: Country: Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Cote d'Ivoire Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Espana Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Honduras Hong Kong Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Republic of Korea (South) Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Ireland Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa (Independent) San Marino Sao Tome and Principe Saudi Arabia Scotland Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea Spain Sri Lanka St. Helena St. Pierre and Miquelon Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay USA Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wales Wallis and Futuna Islands Western Sahara Yemen Zambia Zimbabwe
Day Phone (including area code):
Evening Phone (including area code):
Other Information/Questions:
To send the form, click here
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Pay your entry fee for the 2004 10's Tournament here: